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Ectopic pregnancy is responsible for 6% of maternal deaths during the first trimester of pregnancy making it the leading cause of maternal death during this stage of pregnancy. [ 1 ] Between 5% and 42% of women seen for ultrasound assessment with a positive pregnancy test have a pregnancy of unknown location, that is a positive pregnancy test ...
Four criteria for differentiating ovarian from other ectopic pregnancies: The gestational sac is located in the region of the ovary. The ectopic pregnancy is attached to the uterus by the ovarian ligament. Ovarian tissue in the wall of the gestational sac is proved histologically. The tube on the involved side is intact.
In the case of an unruptured ectopic pregnancy, local feticidal injection can be used to remove the ectopic pregnancy. For this method, ultrasound is used to guide a needle to the ectopic pregnancy and substances such as potassium chloride and hyperosmolar glucose are injected directly into the gestational sac. [ 3 ]
Ectopic pregnancy refers to a pregnancy outside the uterus, commonly in the fallopian tube. It is a less common but more serious cause of early pregnancy bleeding. Ectopic pregnancies can rupture, leading to internal bleeding that can be fatal if untreated.
A sensitive serum pregnancy test is typically obtained to rule out ectopic pregnancy. Culdocentesis will differentiate hemoperitoneum (ruptured ectopic pregnancy or hemorrhagic cyst) from pelvic sepsis (salpingitis, ruptured pelvic abscess, or ruptured appendix). [28] Pelvic and vaginal ultrasounds are helpful in the diagnosis of PID.
The theoretical issue of male ectopic pregnancy (pregnancy outside the uterine cavity) by surgical implantation has been addressed by experts in the field of fertility medicine, who stress that the concept of ectopic implantation, while theoretically plausible, has never been attempted and would be difficult to justify – even for a woman ...
A cervical pregnancy is an ectopic pregnancy that has implanted in the uterine endocervix. [2] Such a pregnancy typically aborts within the first trimester , however, if it is implanted closer to the uterine cavity – a so-called cervico-isthmic pregnancy – it may continue longer. [ 3 ]
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